改良钻孔引流术治疗慢性硬膜下血肿的疗效观察-东南大学学报医学版

改良钻孔引流术治疗慢性硬膜下血肿的疗效观察

单位：马鞍山市人民医院神经外科, 安徽马鞍山 243000

分类号：R651.15

出版年·卷·期（页码）：2013·32·第四期（446-448）

摘要：

目的: 探讨改良钻孔引流术治疗慢性硬膜下血肿(CSDH)的临床疗效。方法: 患者共36例,男27例,女9例,在传统钻孔引流术的基础上扩大骨孔至2.5 cm,悬吊硬膜,引流管置于骨孔处,不缝合颞肌,利用颅内压和大气压用生理盐水将颅内积气置换出来。结果: 36例中治愈29例,好转7例,总有效率100%。改良钻孔引流术治疗CSDH能有效减少血肿残留复发、颅内积气、癫痫等术后并发症。结论: 改良钻孔引流术治疗CSDH具有操作简单、创伤小、引流完全等优点,可减少术后相应并发症,有利于患者预后。

Objective: To explore the clinical curative effects about improved bore-drainage treatment in chronic subdurat hematoma(CSDH). Methods: Select 36 patients with CSDH,including 27 males and 9 females, on the basis of the traditional bore-drainage treatment, make the skull hole expanded to 2.5 cm, hang dural,place the tube above the hole, not suture temporalis, replace gas from cranial cavity with 0.9%Nacl while utilize the difference between the intracranial pressure and the atmospheric pressure. Results: 29 patients were cured and 7 patients were improved. Total effective rate was 100%. Improved bore-drainage treatment can effectively reduce the hematomas residual and recurrence, epilepsy,gas,etc. Conclusion: Improved bore-drainage treatment is simply, diminutive trauma,drainage fully, etc, can obviously improve prognosis.

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